Provider Demographics
NPI:1467944645
Name:SIMS, JULIE RENEE (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:RENEE
Last Name:SIMS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MS
Other - First Name:JULIE
Other - Middle Name:RENEE
Other - Last Name:CHERICO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3411 SILVERSIDE RD STE 107
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19810-4806
Mailing Address - Country:US
Mailing Address - Phone:302-478-8532
Mailing Address - Fax:
Practice Address - Street 1:3411 SILVERSIDE RD STE 107
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19810-4806
Practice Address - Country:US
Practice Address - Phone:610-357-9183
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-04
Last Update Date:2019-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC5-0001205363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant